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20050742 Demo Permit 10052006 �o�T� City Of Yelm Perrr►it No: DEMO-05-0742-YL � � Community Development Department Issue Date: 10/05/2006 � � (Work must be started within 180 days) Building Division Phone:(360)458-8407 ReCeipt No: 43970 Fax:(360)458-3144 w�aH�wotow Appticant: Name: Lee,Wen Wu Phone: 206-683-5688 Address: P.O.Box 13253 City: Des Moines State: WA Zip 98198 Property Information: Site Address: 1412 Crystal Springs Rd. Assessor Parcel No. 22718310100 Subdivision: N/A Lot: Cantractor Information: Name: Applicant Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information: Project: Loop Description of Work: Remove Mfg.Home Sq. Ft.perfloor:(1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0 Heat Type(Electric,Gas,Other): OTHER Fees: Item Item Fee Base Amt Unit Fee Unit Rate No.Units Unit Desc -------------------------- ----------- ----------- ----------- ----------- ----------- ------------- Building Permit-Other 50.00 0.00 0.00 0.0000 0.0000 $1,000 TOTAL FEES: $50.00 Applicant's Affadavit: I certify that I have read and examined the information contained within the application and know the same OFFIGIAL USE ONLY to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prinis: Yelm regulations including those governing zoning and land subdivision,and in addition,all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Final Inspection: Signature ��`� Date /�f— ��— Q.� Date: . Firm By' . - .. . - . - -.. . . - - -. T'� CITY OF � ` YELM P.O.Box 479 Yelm,WA 98597 RECEIPT NO.4 3 9 7 0 360-458-8403 RECEtVED ` ***�FIFTY DOLLARS & 00 CENTS � f, ��iECEIVED FROM DATE REC.NO. AMOUNT REF.NO. 1;.` ,N�i1t=.1�U LEE 10/05/06 43970 50.00 CHECK 548 .'_:��P:O:�;�-BO% �� 13253 � ,,,;:-',DES. HOINES KA 98198 BUDGETARY � ' � MICHELLE � PERMIT 50.00 �pF THEp� City of Yelm Permit Fees Schedule � � Community Development Department Permit No: DEMO-05-0742-YL a Building Division Phone:(360)458-8407 YELM Fax:(360)458-3144 Applicants Name: Lee,Wen Wu Phone: 206-683-5688 Address: P.O.Box 13253 City: Des Moines State: WA Zip 98198 Project lnformation: Project:Loop Description of Work: Remove Mfg.Home Site Address: 1412 Crystai Springs Rd. Assessor Parcel No. Fees: Item Acct Code Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc --------------------------- •------------- ----------- ----------- ----------- ----------- ----------- ------------- Building Permit-Other 032 001-322-10-00 50.00 0.00 0.00 0.0000 0.0000 $1,000 TOTAL FEES: $50.00 F-- C1TY OF YELM RESIDENTIAL BUILDfNG PERMIT APPUCATION�ORM 2 � Project Address: C'r S 5�"� N'i�' ��arcel#. ✓`��' ��7/ �/��[t��'r� _�_ � Subdivisian: Lot#. Zoning; �Op�„ u New Construction u Re-Modei!Re-Roof/Addition u Home OcGUpa�on Sign u Plumbing u Mechanical u Mobile/Manufactured Home Placement �'Otfier ProjectDescriptioNScopeofWork: I�..�w,,il�,'��,� ��{'Yn��K- �'ldh.� �'►'�txnu•�-ciCrtwt�t. I-��Yrrte i:t;� S:�'�' �'V Project Value: Building Area(sq.ft) 1�Floor�_ 2"d Floor Garage Deck � Basement Carport Patio #Bedroo�� #Bathrooms� Heating: GAS/07HER or, LECTR�Circle One) �--___ Are there any environmentally sensitive areas located on the parcel? ;J/� If yes, a completed environmental checklist must accompany permit app{ication. BUILDING OWNER NAME: 'h� ADDR SS ,� � " L�� ,�� 3 EMAIL CITY � � c►"11�,STATE_W i-� ZIP ��5 1`f� TELEPHONE 2-0b-��-SF�d�� ARCHITECT/ENGINEER LICENSE# ADDRESS EMA{L CITY STATE ZIP TELEPHONE GENERAL CONTRACT4R TELEPHONE ADDRES5 EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE ClTY L{CENSE# P�UMBING CONTRACTOR TE�EPHONE ADDRESS EMAIL CIN STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE# MECHANICAL CONTRACTOR tELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE# �` Copy of mitigation agreement with Yelm Community Schools, if applicable. I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of the above desc�bed property will be in accardance Hrith the laws,rules and regulations of the State of Washington and the CRy of Yelm. � /�_�!��_��-�� ,�- c�� U� , A,�tplic�nYs Signature Date �'Owner�Contractor J Owner's Agent/Conwactor's Agent (Please circle one.� All permits are non-transferable and will expire if work authorized by such permit is not begun within 180 days of issuance,or if work is suspended or abandoned for a period of 180 days 105 Yelm Auenue i�est (3�8)458-3835 PO Box 479 (360)458-3144 FAX Yelm,WA 98597 wmu.ci.yetm.waus � :�_ � � - O � �r _ � = � _ �) m �; x � ; w � x ' � v _ � � __ � m - � � � � m _ � � �. � �- �r: �` � �= v r � � � - ` c�1 - — d� _ _ � _- a �, � � a m H a \ W w �, � x -= cn � m n c� = E c � � H �' 2 = m R] � �_ W � = LJ - m -= m � � :�; a -` � - a - a 0 - ca o0 _ o, _ �+ � -_,? �. 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